Individual
NAKITA RICHELLE ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
2510 MARION LN, SOUTHAVEN, MS 38672-2325
(731) 803-4581
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13362
TN
1041C0700X
Clinical Social Worker
9492
TN
Other
Enumeration date
05/10/2022
Last updated
11/21/2024
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